medigraphic.com

2004, Number 5

<< Back Next >>

Rev Med Inst Mex Seguro Soc 2004; 42 (5)

Emotional Changes in Diabetic Patients with Nephropathy

Lauro RC, Barrios SP, Ávila RTL

Language: Spanish
References: 23
Page: 379-385
PDF size: 286.98 Kb.


ABSTRACT

Our objective was to test frequency of emotional disorder in a sample group of patients with chronic renal insufficiency (CRI) due to diabetic nephropathy with an ex post facto transversal study. In this study, we typified each particularity concerning this problem. Subjects who participated in this study consisted of 100 patients seen at the Continuous Ambulatory Peritoneal Dialysis Program at an Instituto Mexicano del Seguro Social (IMSS) Hospital in San Luis Potosí State in central Mexico. Diagnosis of diabetic nephropathy was carried out by the patients’ own personal physicians, who referred the patients to our Hospital. Presence of emotional disorder was measured with the GHQ-28 instrument (General Health Questionnaire); the validated and reliable standardized version in Spanish was used in this study. The dependant variable to consider was evaluation of the index of emotional disorder estimated by means of the GHQ-28 scale, while independent variables were sociodemographic aspects and chronic degenerative condition of complications due to diabetic nephropathy. Results showed that 86 % of the studied sample of patients with diabetic nephropathy dealt with a level of emotional disorder; patients with >10 years of diagnosis with type 2 diabetes mellitus had greater risk of having greater risk of diabetic nephropathy. The conclusion is that emotional disorder in patients due to diabetic nephropathy is high and is associated with degenerative evolution of this health problem. The importance of medical and nursing intervention is underscored in this type of patient.


REFERENCES

  1. Secretaría de Salud. Encuesta nacional de enferme-dades crónicas. México: SSa; 1993.

  2. Secretaría de Salud. Encuesta nacional de enferme-dades crónicas. México: SSa; 2001.

  3. Kimmel PL, Peterson RA, Weihs KL, Simmens SJ,Alleyne S, Cruz I, Veis JH. Psychosocial factors,behavioral compliance and survival in urban hemo-dialysis patients. Kidney Int 1998:54(1): 245-254.

  4. Kimmel PL. Psychosocial factors in adult end-stage renal disease patients treated with hemo-dialysis: correlates and outcomes. Am J Kidney Dis2000;35(4 Suppl 1):S132-S140.

  5. Kimmel PL, Peterson RA, Weihs KL, Simmens SJ,Boyle DH, Cruz I, et al. Aspects of quality of lifein hemodialysis patients. J Am Soc Nephrol 1995;6(8): 1418-1416.

  6. Kimmel PL, Thamer M, Richard CM, Ray NF.Psychiatric illness in patients with end-stage renaldisease. Am J Med 1998;105: 214-221.

  7. Korevaar JC, Jansen MA, Merkus MP, Dekker FW,Boeschoten EW, Krediet RT. Quality of life inpredialysis end stage renal disease patients at theinitiation of dialysis therapy. Perit Dial Int 2000;20(1):69-75.

  8. Merkus MP, Jager KL, Dekker FW, De Haan RJ,Boeschoten EW, Krediet RT. Quality of life overtime in dialysis: the Netherlands Cooperative Studyon the Adequacy of Dialysis. Kidney Inter 1999;56(2):720-728.

  9. Singer PA, Martin DK, Kelner M. Quality end-of-life care: patients perspectives. JAMA 1999;28(2):163-168.

  10. Ruiz-Flores LG, Vázquez-Estupiñán F, Corlay-Noriega I, et al. Depresión en pacientes diabéticosy su relación con el control metabólico medidopor HbA1c. Revista Psiquiatría 1996;12(3):66-71.

  11. Mejías-Vizcarro JA. Depresión en pacientes coninsuficiencia renal crónica en diálisis y hemodiá-lisis. Revista Psiquiatría 1994;10(3):75-79.

  12. Goldberg DP, William P. A user™s guide to theGeneral Health Questionnaire. USA: Windsor,NFER- Nelson; 1998.

  13. De-la-Revilla-Ahumada L, De-los-Ríos-Álvarez AM,Luna-del-Castillo JL. Utilización del CuestionarioGeneral de Salud de Goldberg (GHQ-28) en ladetección de problemas psicosociales en la consultadel médico de familia. Atención Primaria 2004;33(8):417-425.

  14. Medina-Mora ME, Padilla GP, Campillo-Serrano C,Mas CC, Ezban M, Caraveo J, Corona J. The structureof the GHQ: A scaled version for a hospital™s generalpractice service in Mexico. Psychol Med 1983;13:355-362.

  15. Goldstein AM, Reznikoff M. Suicide in chronic hemo-dialysis patients, from and external locus of controlframework. Am J Psychiatry 1971;127:124-127.

  16. Téllez-Centeno JF, Morales-Buenrostro LE,Cardiel HM. Frecuencia y factores de riesgo paradepresión en pacientes con diabetes mellitus tipo2 en un hospital de tercer nivel de atención. MedInterna Mex 2001;17(5):136-140.

  17. Guerrero-Sustaita V, De-los-Ríos-Castillo JL. Depresiónen pacientes con DM-2 y nefropatía diabética. De-sarrollo científico de enfermería 2003;11(5):136-140.

  18. Theodora K, Christina D, Tania F, Anna P, Geor-gios V. Looking into the factors affecting renalpatients™ quality of life. Edtna-Erca Journal 1996; 22(3):19-21.

  19. Phillips L, Davies SJ, Russell GI. Functional statusof CAPD patients and their mood state, dialysis dose,comorbidity and quality of life. Edtna-Erca Journal1996;22(3):15-18.

  20. Szabo E, Moody H, Hamilton T, Ang C, Kovitha-vongs C, Kjellstrand C. Choice of treatment im-proves quality of life: a study on patients under-going dialysis. Arch Intern Med 1997;157(12):1352-1356.

  21. Mingardi G, Cornalba L, Cortinovis E, Ruggiata R,Mosconi P, Apolone G. Health-related quality oflife in dialysis patients. A report from an Italianstudy using the SF-36 Health Survey. Nephrol DialTransplant 1999;14(6):1503-1510.

  22. Gokal R, Figueras M, Olle A, Rovira J, Badia X.Outcomes in peritoneal dialysis and hemodialysis acomparative assessment of survival and quality oflife. Nephrol Dial Transplant 1999;(14 Suppl 6):24-30.

  23. De-los-Ríos-Castillo JL, Sánchez-Sosa JJ. Well-being and medical recovery in the critical care unit:the role of the nurse-patient interaction. Salud Mental2002;25(2):21-31.




2020     |     www.medigraphic.com